FACILITATORS AND CONSTRAINTS TO SPORT ACTIVITY AMONG ADULTS WITH ARTHRITIS

Abstract This study examines types of facilitators, constraints, and constraint negotiation strategies and their associations with self-reported physical activity levels for older adults with arthritis. A national sample of U.S. adults (N=288; age range =50-85, M=64.8) who participated in a larger study of sport participation completed an online questionnaire on their involvement in leisure activities. The sample was predominantly White (91.3%), female (65.2%), and unmarried (55.6%). As expected, individuals reporting more constraints engaged in significantly less physical activity (β=-.19, p=.01) while those using greater constraint negotiation strategies reported significantly more activity engagement (β =.18, p=.03). Facilitators were examined (intrapersonal, interpersonal, and structural), but only interpersonal facilitators significantly predicted greater levels of physical activity (β =-.07, p=.03). Adults reporting sport engagement during the past year were also more active (β =.24, p<.001). The discussion will focus on the implications of findings and how barriers to activity in this population can be addressed.


ENVIRONMENT, HEALTH, EQUITY, DIVERSITY, AND INCLUSION A COMPARISON OF SUBJECTIVE COGNITIVE DECLINE AND RELATED LIMITATIONS AMONG TRANSGENDER COMMUNITIES IN THE US
Ethan Cicero 1 , Michael Goodman 1 , Lisa Barnes 2 , Molly Perkins 3 , Jason Flatt 4 , and Vin Tangpricha 1 , 1. Emory University, Atlanta,Georgia,United States,2. Rush Alzheimer's Disease Center,Rush University Medical Center,Chicago,Illinois,United States,3. Emory University School of Medicine,Atlanta,Georgia,United States,4. University of Nevada,Las Vegas,School of Public Health,Las Vegas,Nevada,United States Background: The transgender population is composed of subgroups that are diverse in gender identity (e.g., transgender women[TW], transgender men[TM], nonbinary [NB] individuals). Compared to cisgender adults, transgender adults are more likely to report subjective cognitive decline (SCD). It remains unclear if SCD prevalence and related limitations vary by transgender subgroups.
Methods: 2015-2020 Behavioral Risk Factor Surveillance System data, representing 38 U.S. states that assessed SCD (confusion/memory loss happening more often/getting work over previous 12months) and gender identity were used to examine differences in SCD prevalence and SCD-related limitations by transgender subgroups, TW(n=442), TM(n=298), and NB(n=183). Age-adjusted odds ratios (OR) along with 95% confidence intervals (CI) were calculated to investigate group differences in SCD prevalence. Separate analyses compared SCD-related limitations, demographics, and health across groups among participants reporting SCD.
Conclusion: Health and social inequities are not uniformly experienced across transgender subgroups, and it is important to understand how these factors impact the brain health of TW, TM, and NB adults.

BLACK PLACEMAKING: THE BODY, HOME, AND PUBLIC SPACE THROUGH THE LENS OF OLDER WOMEN
Laurent Reyes 1 , Jarmin Yeh 2 , and H. Shellae Versey 3 , 1. UC Berkeley,Berkeley,California,United States,2. University of California,San Francisco,San Francisco,California,United States,3. Fordham University,Bronx,New York,United States African American communities are frequently depicted as victims of urban conditions. However, a rich culture of grassroots community development and organizing, often led and stewarded by Black women, exists. Many of these efforts involve enhancing economic, political, and educational opportunities and centering ethics of care and caregiving. This is the notion of Black placemaking, which is explicitly community-focused, shaping the social fabric of everyday life and allowing for the development of Black vernacular spaces that became vital to African-American culture. This paper examines how Black older women engage in placemaking by presenting three select case studies. Using a narrative inquiry approach, we conducted secondary data analysis of interviews drawn from larger qualitative studies about aging in communities that took place in San Francisco and New York City. Black feminist spatial imagination, embodiment, and intersectionality theory were our guiding frameworks. Our analysis revealed how the aging Black body is a site that is subjected to socio-political regulation and violence and illuminates how Black women are agents of community resilience, creativity, and transformation. Creating and holding space (i.e., placemaking) with bodies and physical structures that center the Black community is an act of care, self-determination, and resistance to white supremacy. These embodied processes of placemaking have wide-ranging implications for the ways Black neighborhoods are framed and discussed in popular media, empirical research, and policy. Furthermore, they invite a shift in our current approach to placemaking in later life, one that centers the strengths, history, and traditions of the Black community. While Asians are the fastest growing racial group in the United States, limited research exists on their health needs, especially among older adults. Cognitive difficulties increase disease and caregiving burdens, but little is known about patterns of cognitive health among Asian American older adults. This study fills the knowledge gap by using data from the 2015-2019 American Community Surveys to examine the relationship between Asian ethnicity and gender on cognitive health. This analysis focuses on respondents aged 65 and over from the six most populous Asian American groups: Chinese, Filipino, Indian, Japanese, Korean, and Vietnamese (n=100,538). Weighted, adjusted logistic regression analyses tested for the effects of Asian ethnicity and gender on cognitive difficulties. Multivariate analyses showed Filipino, Indian, and Vietnamese older adults were more likely than Chinese to report cognitive difficulties. Additionally, Asian American women were more likely to report cognitive difficulties compared to Asian American men. Joint effect analyses were statistically significant, thus we examined separate regression analyses by Asian ethnicity. Results showed that Vietnamese women were more likely than Vietnamese men to report cognitive difficulties. Across Asian ethnic groups, family relationships and economic factors play a major role in having a cognitive difficulty. Overall, the results suggest that ethnic-specific analysis of the Asian American reveals a fuller picture of health in older adulthood. Future research needs to dive more deeply into the sociocultural and economic dimensions of health. Further, culturally appropriate policy and practices are needed to promote successful aging among older Asian Americans.

HOW DO INTERGENERATIONAL RELATIONSHIPS IMPACT THE HEALTH OF ASIAN AMERICAN OLDER ADULTS?
Duy Nguyen 1 , Yookyong Lee 2 , and Rui Liu 3 , 1. Sacred Heart University, Teaneck,New Jersey,United States,2. University of Alabama at Birmingham,Birmingham,Alabama,United States,3. Sacred Heart University,Fairfield,Connecticut,United States Intergenerational relationships and filial piety are important values common to many Asian-ethnic groups. While a limited literature exists examining the health outcomes of older adults living with grandchildren in Asian countries, Asians in America have received less attention from researchers and policymakers. This study fills the knowledge gap by using data from the 2015-2019 American Community Surveys to examine the relationship between Asian ethnicity and living with grandchildren on health outcomes. This analysis focuses on respondents aged 65 and over from the six most populous Asian American groups: Chinese, Filipino, Indian, Japanese, Korean, and Vietnamese (n=100,538). Roughly half the sample lived with grandchildren. Weighted, adjusted logistic regression analyses tested for the effects of Asian ethnicity and living with grandchildren on 4 health outcomes: ambulatory, independent living, hearing, and vision difficulties. Multivariate analyses showed Filipino and Vietnamese older adults were more likely than Chinese to report difficulties across health outcomes. Additionally, individuals living with grandchildren were less likely to report ambulatory, independent living, and hearing difficulties. Joint effect analyses revealed Indian, Filipino, and Japanese Americans living with grandchildren reported more difficulties compared to the reference group. Overall, the results suggest that living with grandchildren can be a protective factor for the health outcomes of older Asian Americans, while having different impacts depending on ethnic origin. Future research needs to differentiate the impact of living with grandchildren across Asian ethnic groups. Further, culturally appropriate policy and practices are needed to promote successful aging among older Asian Americans living with grandchildren.